Provider Demographics
NPI:1992045975
Name:RONNING, RICHARD NEIL
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:NEIL
Last Name:RONNING
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13310 W 109TH TER
Mailing Address - Street 2:
Mailing Address - City:LENEXA
Mailing Address - State:KS
Mailing Address - Zip Code:66210-3706
Mailing Address - Country:US
Mailing Address - Phone:913-553-0987
Mailing Address - Fax:
Practice Address - Street 1:13310 W 109TH TER
Practice Address - Street 2:
Practice Address - City:LENEXA
Practice Address - State:KS
Practice Address - Zip Code:66210-3706
Practice Address - Country:US
Practice Address - Phone:913-553-0987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-27
Last Update Date:2013-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant